Individual
DR. WENDALL MASCARENHAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
8738 UNIVERSITY CITY BLVD, CHARLOTTE, NC 28213
(704) 295-4863
Mailing address
8738 UNIVERSITY CITY BLVD, CHARLOTTE, NC 28213
(704) 295-4863
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
PENDING
NC
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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